Barriers and facilitators to the access to and use of formal dementia care: Findings of a focus group study with people with dementia, informal carers and health and social care professionals in eight European countries
Astrid Stephan,Anja Bieber,Louise Hopper,Rachael Joyce,Kate Irving,Orazio Zanetti,Elisa Portolani,Liselot Kerpershoek,Frans R.J. Verhey,Marjolein E. de Vugt,Claire A. G. Wolfs,Siren Eriksen,Janne Røsvik,Maria J. Marques,Manuel Gonçalves-Pereira,Britt-Marie Sjölund,Hannah Jelley,Bob Woods,Gabriele Meyer +18 more
TLDR
Further investigations are needed to elaborate how the concept of a key contact person could be integrated with existing case management approaches and how the independence and autonomy of people with dementia can be strengthened when formal care needs to be accessed and used.Abstract:
People with dementia and informal carers often access formal care late in the process of dementia. The barriers and facilitators to service use from the perspectives of different stakeholders involved are not well understood. Thus, we aimed to explore the barriers and facilitators of access to and utilisation of formal care from the perspectives of people with dementia, their informal carers and health and social care professionals. Focus groups with people with dementia, informal carers and professionals were conducted in eight European countries. Recruitment targeted people with dementia, informal carers with experience of formal care and professionals involved in providing (access to) formal care. Qualitative content analysis using open coding was used on a national level. Cross-national synthesis was based on the translated national reports. Overall, 55 focus groups with 261 participants were conducted, involving 51 people with dementia, 96 informal carers and 114 professionals. Sixteen categories describing barriers and facilitators were identified, referring to three global themes: Aspects related to 1) individuals involved, 2) the system or 3) overarching aspects. The attitudes and beliefs of people with dementia and their carers may have a major impact, and they often serve as barriers. Formal care was perceived as a threat to the individual independence of people with dementia and was thus avoided as long as possible. A healthcare professional serving as a constant key contact person could be an essential facilitator to overcome these barriers. Contact should be initiated proactively, as early as possible, and a trusting and consistent relationship needs to be established. Beyond that, the findings largely confirm former research and show that barriers to accessing and using formal care still exist across Europe despite a number of national and European initiatives. Further investigations are needed to elaborate how the concept of a key contact person could be integrated with existing case management approaches and how the independence and autonomy of people with dementia can be strengthened when formal care needs to be accessed and used. These may be meaningful facilitators regarding enhanced access to formal care for people with dementia and their families.read more
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Decision-making for receiving paid home care for dementia in the time of COVID-19: a qualitative study.
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TL;DR: This is the first study to report on the impact of COVID-19 on paid home care changes in dementia, raising implications for providing better Personal Protective Equipment for paid carers, and to support unpaid carers better in their roles, with the pandemic likely to stay in place for the foreseeable future.
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What do family caregivers of people with dementia need? A mixed-method systematic review.
TL;DR: This mixed-method systematic review identified and synthetised the existing literature on the needs of family caregivers of people with dementia at home to detect changes in family caregivers' needs throughout the disease progression in order to tailor formal care offered by social and healthcare services.
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Influences on the access to and use of formal community care by people with dementia and their informal caregivers: a scoping review
TL;DR: The findings indicate that people with dementia should more often be included in healthcare service research to ensure a better understanding of the barriers to accessing formal community care and a theoretical framework would likely help to describe this complex subject.
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COVID-19-related social support service closures and mental well-being in older adults and those affected by dementia: a UK longitudinal survey.
Clarissa Giebel,Daniel Pulford,Claudia Cooper,Kathryn Lord,Justine Shenton,Jacqueline Cannon,Lisa Shaw,Hilary Tetlow,Stan Limbert,Steve Callaghan,Rosie Whittington,Carol Rogers,Aravind Komuravelli,Manoj Rajagopal,Ruth Eley,Murna Downs,Siobhan Reilly,Kym Ward,Anna Gaughan,Sarah Butchard,Jules Beresford,Caroline L Watkins,Kate M. Bennett,Mark Gabbay +23 more
TL;DR: In this article, the authors explore how social support service use by older adults, carers and people living with dementia (PLWD) changed over the first 3 months since the COVID-19 pandemic outbreak.
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TL;DR: Current dementia information sources available in English are extensive in the information they offer, but more emphasis needs to be placed on healthcare service-related information.
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